Stan Dunlap Photography Model Release

Stan Dunlap Photography

Model Release

Model Release - Stan Dunlap Photography

Model Release
I hereby give permission to Stan Dunlap Photography to use photographic images and files in all forms and media. They have the irrevocable, perpetual and unrestricted right and permission to take, use, re-use, publish, and republish photographic portraits or pictures of me or in which I may be included, in whole or in part, or composite or distorted in character or form, without restriction as to changes or alterations, in conjunction with my own or a fictitious name, or reproductions thereof in color or otherwise, made through any medium at his studios or elsewhere, and in any and all media now or hereafter known, specifically including but not limited to print media and distribution over the internet for illustration, promotion, art, editorial, advertising, trade, or any other purpose whatsoever.
I specifically consent to the digital compositing or distortion of the portraits or pictures, including without restriction any changes or alterations as to color, size, shape, perspective, context, foreground or background. I also consent to the use of any published matter in conjunction with such photographs.
I hereby waive any right that I may have to inspect or approve the finished product or products and the advertising copy or other matter that may be used in connection with them or the use to which they may be applied, advertising, trade, and any other lawful
purposes. I hereby release, discharge, and agree to hold harmless Stan Dunlap, his heirs, legal representatives, and assigns, and all persons acting under his permission or authority or those for whom he is acting, from any liability by virtue of any blurring, distortion, alteration, optical illusion, or use in composite form, whether intentional or otherwise, that may occur or be produced in the taking of such photographs or in any subsequent processing of them, as well as any publication of them, including without limitation any claims for libel or violation of any right of publicity or privacy. I hereby warrant that I am of full age and have the right to
contract in my own name or that my parent or guardian is completing the form if I am under 18 years of age. I have read the above authorization, release, and agreement, prior to its execution, and I am fully familiar with the contents of this document. This document shall be binding upon me and my heirs, legal representatives, and assigns.

Name *

Name

First Name

Last Name

Parent/Guardian Name (if under 18)

Parent/Guardian Name (if under 18)

If the model is under 18 the parent or guardian give permission for the model release by completing this form

First Name

Last Name

Email Address *

Parent or guardian - Email Address

Date

Date

MM

DD

YYYY

Phone *

Phone

(###)

###

####

Parent or Guardian Phone

Parent or Guardian Phone

(###)

###

####

By checking here I agree to the release and that I am the model and over 18 years of age.

Over 18

By checking here I am stating that I am the legal guardian or parent of the model and am in agreement to the release.